The Preliminary Investigation On Correlation Between Dysmenorrhea And TCM Constitution Of Female Students In Some Universities In Fuzhou

Objective:Guided by the Traditional Chinese Medicine (TCM) Constitution theory, with the investigation on the correlation between dysmenorrhea of the female students in some universities in Fuzhou and TCM constitution, the thesis explores the distribution pattern of the physical types of the dysmenorrhea patients, as well as the correlation between dysmenorrhea and the physical type factors, and analyzes the dysmenorrheal risk factors and good-fat physique. With an in-depth research on the etiology and pathogenesis of Dysmenorrhea from the TCM constitution perspective, the thesis aims to provide some theoretical basis for the effective clinic treatment of Dysmenorrhea, the improvement of imblance constitution of the group subject to Dysmenorrhea, the elimination of risk factors and the reduction of Dysmenorrhea incidence.Methods:With the TCM Constitution Questionnaire developed by Professor Wang Qi, Beijing University of Chinese Medicine and Pharmacology, and some self-prepared questionnaire, the author conducted on-site investigations on the volunteered female students in some Fuzhou universites.666 cases were investigated, of which 418 cases (case group) with Dysmenorrhea, 248 cases without (control group). Topics covers age, height, weight, education degree, lifestyle, menorrhea, leukorrhoea, and disease history, as well as the Dysmenorrhea degree and the physical conditions of the Dysmenorrhea patients. Analyzed with SPSS13.0 statistical software, the findings explores the correlation between the distribution of Dysmenorrhea patients' TCM conditions, their physical types and Dysmenorrhea incidence, as well as the correlation between Dysmenorrhea related factors and the Dysmenorrhea incidence and the physical types of the groups subject to Dysmenorrhea.Results:1,The types of TCM constitution among 418 dysmenorrhea patients in turn:qi deficiency constitution (45.7%)> Yang deficiency constitution (41.9%)> Qi stagnation constitution (35.6%)> Yin deficiency constitution (32.3%)> Damp-heat constitution (27.0%)> Normal constitution (16.7%)> Blood stasis constitution(14.8%)> Special constitution (3.8%)> Phlegm-dampness constitution (3.6%)2,The type of TCM constitution among Control Group in turn:Normal constitution (38.7%) > Damp-heat constitution (27.4%)> qi deficiency constitution (27.0%)> Yang deficiency constitution (25.8%)> Qi stagnation constitution (25.4%)> Yin deficiency constitution (10.5%)> Blood stasis constitution 10.5%)> Phlegm-dampness constitution (2.0%),Special constitution (2.0%)3,In two group, there are significant difference in the distribution of Normal constitution, Qi deficiency constitution, Yand deficiency constitution, yin deficiency constitution, Qi stagnation constitution (P＜0.01). The remaining four types of constitution distribution show no significant difference (P>0.05).4,The dysmenorrhea pain degree in normal constitution is lightest however, it is heaviest in predisposition. The former three in turn are special constitution(75.1%)> qi deficiency constitution(73.9%)> Phlegm-dampness constitution (73.3%). The. comparison of the pain degree of dysmenorrhea shows significant differences in all types of constitution (P＜0.01).5,The incidence of dysmenorrhea in predisposition is higher than that in normal constitution. The top three higher frequency of pain episodes are Phlegm-dampness constitution> Special constitution> Yang deficiency. The comparison of incidence of dysmenorrhea shows significant differences in all predisposition.(P<0.05).6,Eating raw and cold foods is the most normal inducement to Increase the pain degree of dysmenorrhea, which is above 60% in all types of constitution. The comparison of inducement and increase dysmenorrhea shows signigicant differences in nine types of constitution (P＜0.01).7,The comparison of birth information, Feeding ways after birth, Sleep and exercise habits, Balanced light diet in Case Group and Control Group has statistical significance. (P<0.05).8,The comparison of Age of menarche, the amount of menstrual blood, color of menses and the prevalence of premenstrual symptom shows significant differences in Case Group and Control Group. (P＜0.01).Conclusion:1,The occurrence of dysmenorrhea is closely related with constitution factors. Qi deficiency, Yang Deficiency and Qi stagnation constitution is the predisposition constitution to dysmenorrhea.2,The occurrence characteristic of dysmenorrhea has closely related with the types of TCM constitution. Comparing with Normal constitution, dysmenorrhea in predisposition constitution is much heavier and higher frequency. 3,Eating raw and cold foods is the most common factor to induce or increase the pain degree of dysmenorrhea.4,Non-natural delivery, non-breastfeeding, inbalanced diet, irregular sleep, poor sleep quality, and seldom exercise easily lead to a dysmenorrhea predisposition.5,Menarche younger cause the higher incidence of dysmenorrheal. dysmenorrhea patients often associated with menstruation flow, color, quality and abnormalities associated with premenstrual symptoms.6,Due to adjustability of TCM constitution, It is expected to be an effective way to control and treat dysmenorrhea by conducting early intervention, correcting or improving predisposition constitution.